Bill To:


PROGRESSIVE INSURANCE
6300 WILSON MILLS ROAD
MAYFIELD VILLAGE, OH 44143-2109

Services Rendered To:


Addison Lashaun
6414 CR 42
Rosharon, TX 77583
POLICY# 958340140

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-BB-326-23-88-A 05/31/2023 06/23/2023 On Receipt Rosharon VFD

Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $350.00
    2
    $700.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00
  4. 408 Air Medical Landing Zone (Used)

    $250.00
    1
    $250.00
  5. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 521- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $2,200.00
Total Due $2,200.00


Updated
June 23, 2023 @ 12:14 pm

Invoice updated by Geoffrey.

Status Update
June 23, 2023 @ 12:14 pm

Status changed: Draft to Pending.